National Provider Identifier [NPI]: |
1235253717 |
Last Name Of The Provider |
SCHWARTZKOPF |
First Name Of The Provider |
JOEL |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2000 N. BOISE AVE. |
Street Address 2 Of The Provider |
|
City Of The Provider |
LOVELAND |
Zip Code Of The Provider |
805387282 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
369 |
Number Of Medicare Beneficiaries |
190 |
Total Submitted Charge Amount |
52183 |
Total Medicare Allowed Amount |
20769.57 |
Total Medicare Payment Amount |
15035.05 |
Total Medicare Standardized Payment Amount |
17887.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
46 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
440 |
Total Drug Medicare AllowedAmount |
141.95 |
Total Drug Medicare PaymentAmount |
125.99 |
Total Drug Medicare Standardized Payment Amount |
125.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
323 |
Number Of Medicare Beneficiaries With Medical Services |
190 |
Total Medical Submitted Charge Amount |
51743 |
Total Medical Medicare Allowed Amount |
20627.62 |
Total Medical Medicare Payment Amount |
14909.06 |
Total Medical Medicare Standardized Payment Amount |
17761.72 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
75 |
Number Of Beneficiaries Age 75 to 84 |
48 |
Number Of Beneficiaries Age Greater 84 |
15 |
Number Of Female Beneficiaries |
131 |
Number Of Male Beneficiaries |
59 |
Number Of Non Hispanic White Beneficiaries |
176 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
140 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
50 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0265 |